Complaint Investigation Report

On 4/08/25, LPA conducted 10-day visit to the facility made observations, reviewed records, and conducted interviews with staff. During records review, C1’s care plan dated 6/25/24 indicates that C1 feels like staff treats them with respect and they feel safe at home. Also, review of C1 physician’s report did not provide any supporting information that could lead to any evidence of behaviors of a history of false accusations. The incident was cross reported to Vallejo Police Department, but LPA was informed that there were no calls for service/reports of any incidents within the time frame when incident was reported at this address and C1's information yielded no calls for service/reports with that agency. On 5/20/25, LPA corroborated agency was cross reported as well. LPA conducted interviews with staff (S1 & S2) and clients (C1, C2 & C3) in care, which revealed contradictory information regarding the situation and LPA is unable to determine if relaxing techniques resulted in the allegation that staff touched C1 inappropriately. Based on interviews conducted and records obtained, the investigation revealed that, although informed of the incident that was reported, the Department did not obtain supporting information to prove or disprove the allegation of facility staff touched client inappropriately. However, LPA had a discussion with the Administrator emphasizing the needs of implementing a plan to ensure the safety and respect of the client’s dignity in their personal relationships with staff. A finding that the complaint allegation that facility staff touched client inappropriately is unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.